Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorHoskins, Gayloren_UK
dc.contributor.authorMcCowan, Colinen_UK
dc.contributor.authorNeville, Ronen_UK
dc.contributor.authorThomas, Giles Een_UK
dc.contributor.authorSmith, Barbaraen_UK
dc.contributor.authorSilverman, Sueen_UK
dc.description.abstractBACKGROUND A study was undertaken to identify asthma patients at risk of an attack and to assess the economic impact of treatment strategies. METHODS A retrospective cohort analysis of a representative data set of 12 203 patients with asthma in the UK over a one year period was performed. Logistic multiple regression was used to model the probability of an attack occurring using a set of categorised predictor factors. Health service costs were calculated by applying published average unit costs to the patient resource data. The main outcome measures were attack incidence, health service resource use, drug treatment, and cost estimates for most aspects of asthma related health care. RESULTS Children under five years of age accounted for 597 patients (5%), 3362 (28%) were aged 5-15 years, 4315 (35%) 16-44, 3446 (28%) 45-74, and 483 (4%) were aged over 74 years. A total of 9016 patients (74%) were on some form of prophylactic asthma medication; 2653 (22%) experienced an attack in the year data collection occurred. Overall health care expenditure was estimated at £2.04 million. The average cost per patient who had an attack was £381 compared with £108 for those who did not, an increase of more than 3.5 times. In those aged under five and those over 75 years of age there were no significant markers to identify risk, but both groups were small in size. The level of treatment step in the British Thoracic Society (BTS) asthma guidelines was a statistically significant factor for all other age groups. Night time symptoms were significant in the 5-15, 16-44 and 45-74 age groups, exercise induced symptoms were only significant for the 5-15 age group, and poor inhaler technique in the 16-44 age group. CONCLUSIONS Patients at any treatment step of the BTS asthma guidelines are at risk of an asthma attack, the risk increasing as the treatment step increases. Poorly controlled asthma may have a considerable impact on health care costs. Appropriate targeting of preventive measures could therefore reduce overall health care costs and the growing pressures on hospital services associated with asthma management.en_UK
dc.publisherBMJ Publishing Group/ British Thoracic Societyen_UK
dc.relationHoskins G, McCowan C, Neville R, Thomas GE, Smith B & Silverman S (2000) Risk factors and costs associated with an asthma attack. Thorax, 55 (1), pp. 19-24.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.titleRisk factors and costs associated with an asthma attacken_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Hoskins Risk Factors Thorax 2000.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorHoskins, Gaylor|0000-0002-8393-2342en_UK
local.rioxx.authorMcCowan, Colin|en_UK
local.rioxx.authorNeville, Ron|en_UK
local.rioxx.authorThomas, Giles E|en_UK
local.rioxx.authorSmith, Barbara|en_UK
local.rioxx.authorSilverman, Sue|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameHoskins Risk Factors Thorax 2000.pdfen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
Hoskins Risk Factors Thorax 2000.pdfFulltext - Published Version95.35 kBAdobe PDFUnder Embargo until 3000-01-01    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.